Should an Anti-incontinence Procedure Be Routinely ...
Curr Urol Rep (2010) 11:304¨C309
DOI 10.1007/s11934-010-0123-7
Should an Anti-incontinence Procedure Be Routinely
Performed at the Time of Pelvic Organ Prolapse Repair?
An Evidence-based Review
Humphrey O. Atiemo
Published online: 19 June 2010
# Springer Science+Business Media, LLC 2010
Abstract The concept of prophylactic anti-incontinence
surgery for women undergoing prolapse repair has been a
popular and controversial debate in recent years. This
article provides an evidence-based review of the current
literature to determine the proper evaluation of the patient
with prolapse, the predictive quality of preoperative
urodynamics, and the selection of the appropriate antiincontinence procedure. Based on this review, the midurethral sling predominates as the procedure of choice;
however, there is poor evidence to suggest that routine
usage of a prophylactic sling is warranted in treatment of
the patient with pelvic organ prolapse.
Keywords Pelvic organ prolapse . Burch colposuspension .
Midurethral sling . Urinary incontinence . Urodynamics .
Pubovaginal sling
Clinical Trial Acronyms
CARE Colpopexy and Urinary Reduction Efforts
OPUS
Outcomes Following Vaginal Prolapse Repair
and Midurethral Sling
SISTEr Stress Incontinence Surgical Treatment Efficacy
Introduction
Pelvic organ prolapse (POP) and urinary incontinence are
significant disease processes that affect women particularly
within the 5th to 6th decades of life. The risk of surgery for
H. O. Atiemo (*)
Department of Urology, University of Michigan,
3875 Taubman Center, 1500 East Medical Center Drive,
Ann Arbor, MI 48109-5330, USA
e-mail: hatiemo@umich.edu
POP or urinary incontinence by age 80 is approximately
11.1%. Surgical intervention for POP with (22%) or
without (41%) continence surgery was the attributed cause
for 63% of this risk. This represents a lifetime risk of 7%
[1]. The concept of anti-incontinence surgery at the time of
POP repair has been a popular topic in recent years. Maybe
the most prominent paper that brought this concept into the
forefront was the CARE trial published in 2006 [2].
Members of the Pelvic Floor Disorders Network sought to
determine if a standardized Burch colposuspension at the
time of an abdominosacrocolpopexy (ASC) would reduce
postoperative stress urinary incontinence (SUI) in patients
without preoperative symptoms of SUI. The results were
that women who did not receive the Burch procedure were
more likely to report bothersome symptoms of stress
incontinence than those in the Burch group (24.5% vs
6.1%; P ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- management of vaginal prolapse
- united states district court for the northern district of
- augs sgs group of the fellow s pelvic research network
- should an anti incontinence procedure be routinely
- dr myron luthringer
- pelvic prolapse endometriosis treatment scottsdale az
- unj dec 12 5 06 4 29 pm page 433 the colpexin
- karanvir virk m d minimally invasive pelvic
- mdl no 2387 in re coloplast corp pelvic support system
- red m alinsod m d facog acge procedures of aesthetic
Related searches
- why should people be educated
- why college should be free essay
- why college should be free
- why college should not be free
- why should community colleges be free
- why should education be free
- why should everyone be educated
- why should tuition be free
- why should women be educated
- why tuition should be free
- should i be an author
- how should an annotated bibliography look